Madeline Claude
Individual provider Active NPI Clinical Social Worker · Centerville, UT
NPI 1053967752 · NPPES record last updated Sep 27, 2022
Key facts
- NPI
- 1053967752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 11792012-3501 (UT)
- Practice address
- 520 N Market Place Dr
Centerville, UT 84014-4901 - Phone
- (801) 934-3373
- NPI assigned
- Aug 18, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- University of Utah School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Davis Psychological Services
Practice addresses (Care Compare)
520 N Market Place Dr
Suite 200
Centerville, UT 84014-4904
Phone (801) 934-3373
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221006000499 | UT | Practitioner - Clinical Social Worker | 4082090527 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurorev PLLC | Current |
Accepting new patients | |
| South Davis Psychological Services | Current |
Accepting new patients |
Locations
520 N Market Place Dr
Ste 200
Centerville, UT 84014
Phone (801) 243-6822
520 N Market Place Dr
Centerville, UT 84014
Phone (801) 934-3373
1544 Woodland Park Dr
Ste 320
Layton, UT 84041
Phone (801) 556-4751
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11792012-3501 | UT | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
520 N Market Place Dr
Centerville, UT 84014-4901
Mailing address
520 N Market Place Dr
Centerville, UT 84014-4901
Phone (801) 934-3373
Other practice location 1
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
Other providers in Centerville, UT
- Centerville Dental Group, LLP
- Centerville Medical Center, Inc.
- Timothy Champlin
- Cherry Creek Assisted Living, LLC
- Lindsey Clark
- Nicholas Cloward
- Cory Cook
- Emily Cook
- Karen Clark Coulam
- Counseling Center LLC
All providers in Centerville, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.